Outcomes of Health Care Reform Implementation in Slum Areas of Isfahan: a qualitative study

In slum areas, due to the economic, cultural and social reasons and how health services are delivered, the health status of people needs serious attention. Implementation of health reform plan in Iran led to increased attention to the health of slum area population. The present study was conducted to assess the outcomes of implementation of primary health care services reform in comprehensive health service centers at slum areas in Isfahan.

This qualitative research with phenomenology approach was conducted in 2018. Study samples consisted of 21 experts of health deputy and health providers of comprehensive health services centers in Isfahan University of Medical Sciences selected using purposive and snowball sampling methods. Data gathering was done by semi-structure interview. Data analysis was done using content analysis and through the 10th version of MAXQD software.

The outcomes of health Reform Plan implementation in primary health care services provision, at Isfahan's slum area Health Services Centers were organized and classified in 6 main themes and 51 sub-themes. Main themes were promotion of health care availability, private sector participation, management, improvement of staff education and providing resources based on the needs and establishing electronic health records with 51 sub-themes.

Feasibility of using public-private partnership models in building, operating, transferring, needs assessing, system evaluation and monitoring of the Comprehensive Health Service Center and compiling the required human resources chart can improve the outcomes of this plan.